When assessing for deep vein thrombosis, the most reliable finding for the nurse to consider is:
A. A positive Homans' sign
B. Pallor to the distal area
C. Edema noted in the extremity
D. Tenderness and warmth on palpation
D
B and D. Signs and symptoms of DVT include a swollen extremity; pain; warm, cyanotic skin; and temperature elevation.
A. Fewer than 20% of clients exhibit a positive Homans' sign.
C. Edema of the extremity may or may not occur.
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The nurse is evaluating the effectiveness of pain medication provided to a client. On which body systems should the nurse expect the pain medication to take effect first? (Select all that apply.)
1. Skin 2. Brain 3. Heart 4. Liver 5. Kidney
In preparation for a transesophageal echocardiography, the nurse must
A) instruct the patient to drink 1 liter of water before the test. B) heavily sedate the patient. C) inform the patient that blood pressure (BP) and electrocardiogram (ECG) monitoring will occur throughout the test. D) inform the patient that an access line will be initiated in the femoral artery.
A client diagnosed with peripheral neuropathy asks the nurse how a vitamin injection will help the numbness in his legs and feet. Which of the following should the nurse respond to this client?
1. "It will cause you to want to eat a better diet.". 2. "It provides a supplement of a vitamin known to be low in people with numbness in their feet and legs.". 3. "It will give you more energy to exercise.". 4. "It will make you sleep better.".
The following IV orders will be regulated manually. Calculate the flow rate of the IV fluid in gtt/min
50 mL NS with antibiotic IV to infuse in 20 minutes. The drop factor is 20 gtt/mL. Flow rate: __________ gtt/min Fill in the blank(s) with correct word